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1174114144
BROOKE BUCHMUELLER
LEBANON, IL
NPI
1174114144
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: IL 096005205)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
BROOKE BUCHMUELLER LAT, ATC
701 COLLEGE RD
LEBANON, IL 62254-1291
Phone number: 618-537-6929
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Mailing Address
BROOKE BUCHMUELLER LAT, ATC
701 COLLEGE RD
LEBANON, IL 62254-1291
Phone number:
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